Thomas D Amico, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) · Durham, NCNPI 1023171899
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (38.6%), speaking fees and travel and lodging — rather than concentrated in one kind of arrangement. 10 manufacturers reported payments, led by Covidien LP at 49.6% of the total. Reporting peaked in 2019 at $69,838 and has fallen 99.8% since, to $132 in 2025. Among thoracic surgery (cardiothoracic vascular surgery) clinicians in NC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 106 payments — averaging $887.41 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Covidien LP$47K
- Scanlan International Inc$36K
- Medtronic$7K
- Medical Device Business Services, Inc.$1K
- E.r. Squibb & Sons, L.L.C.$1K
- Surgical Theater. Inc.$965
- plus $383 from 4 others
What the payments were for
- Royalty or licence$36,34239%
- Consulting fees$12,21313%
- Speaking & faculty fees$20,48022%
- Grants$1,4952%
- Travel & lodging$18,91020%
- Food & beverage$4,6265%
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Covidien LP | 41 | $46,624 |
| Scanlan International Inc | 2 | $36,342 |
| Medtronic | 50 | $7,097 |
| Medical Device Business Services, Inc. | 7 | $1,374 |
| E.r. Squibb & Sons, L.L.C. | 1 | $1,280 |
| Surgical Theater. Inc. | 1 | $965 |
| KARL Storz Endoscopy-america | 1 | $120 |
| Genentech USA, Inc. | 1 | $117 |
| Stryker | 1 | $113 |
| AstraZeneca | 1 | $34 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Sonicision$15,833
- LigaSure$9,314
- superDimension$5,434
- Endo GIA$5,048
- Echelon Flex$1,328
- OPDIVO$1,280
- Signia$986
- ENDO GIA ULTRA$162
- TELESCOPE HOPKINS DCI FOWARD$120
- TECENTRIQ$117
- SPY-PHI SYSTEM$113
- iDrive$103
How this compares
$94,066 in reported general payments places this provider in the 90th percentile of 132 thoracic surgery (cardiothoracic vascular surgery) providers in North Carolina.
See all thoracic surgery (cardiothoracic vascular surgery) providers in North Carolina →
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other thoracic surgery (cardiothoracic vascular surgery) in Durham
- Matthew HartwigDurham$406K
- David HarpoleDurham$177K
- Stafford BaldersonDurham$25K
- Herbert LyerlyDurham$24K
- Betty TongDurham$16K
- Hai SalfityDurham$15K
- Sara NajmehDurham$8K
- Joseph RubelowskyRaleigh$2.2M
- Gregory SmaroffNew Bern$205K
- Carmelo MilanoLumberton$169K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.